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Survey User's Guide

Nursing Home Survey on Patient Safety Culture

The user guide provides a general overview of the issues and major decisions involved in conducting a survey and reporting the results. Part One of the guide presents information about data collection and how to organize and plan your survey project, and Part Two includes the nursing home survey form, an overview of the survey items, and a sample page from the Microsoft PowerPoint® Survey Feedback Template. The appendixes provide guidelines for designing and selecting a sample of staff in nursing homes, guidelines for administering a Web-based survey, and a sample data collection protocol for nursing homes to use during survey administration.

Contract No. 233-02-0087. Prepared by Westat, Rockville, MD.

Principal Investigators: Joann Sorra, Ph.D., Martha Franklin, M.A., Suzanne Streagle, M.A. 

PDF Version [575.55 KB]


Part One: Survey User's Guide

Chapter 1. Introduction
   Development of the Nursing Home Survey on Patient Safety Culture
   Defining a "Nursing Home"
   Identifying Who Should Complete the Survey
   Safety Culture Dimensions Measured in the Survey
   Modifying or Customizing the Survey
   Contents of This Survey User's Guide
Chapter 2. Getting Started
   Determine Available Resources, Project Scope, and Schedule
   Plan Your Project
   Decide Whether to Use an Outside Vendor
   Form a Project Team
Chapter 3. Determining Your Data Collection Methods
   Decide How Surveys Will Be Distributed and Returned
   Establish a Point of Contact
Chapter 4. Establishing Data Collection Procedures
   Publicize and Promote the Survey
   Follow Standard Survey Administration Steps
   Decide Whether To Use Survey Identifiers
   Develop and Assemble Survey Materials
   Track Responses and Calculate Preliminary Response Rates
   Close Out Data Collection
Chapter 5. Preparing and Analyzing Data and Producing Reports
   Identify Incomplete Surveys
   Calculate Your Final Response Rate
   Edit, Code, and Enter the Data
   Check and Electronically Clean the Data
   Analyze the Data and Produce Reports of the Results
   Submit Your Data to the Nursing Home Comparative Database
   Technical Assistance

Part Two: Survey Materials

Nursing Home Survey on Patient Safety Culture
Nursing Home Survey on Patient Safety Culture: Dimensions
Sample Page From PowerPoint Survey Feedback Report Template


Appendix A. Selecting a Sample of Staff
Appendix B. Conducting a Web-Based Survey
Appendix C. Sample Data Collection Protocol for the Nursing Home Point of Contact: Paper Survey

Page last reviewed October 2014
Internet Citation: Survey User's Guide. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.


The information on this page is archived and provided for reference purposes only.


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